Fenton, Paul

Fenton, Paul is an individual health care provider with primary practice located at 96 E Kimballs Ln Ste 207 , Draper UT 84020-5025. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Orthopaedic Surgery, Allopathic & Osteopathic Physicians / Sports Medicine. Allopathic & Osteopathic Physicians / Orthopaedic Surgery is his primary health care specialty. Fenton, Paul can be contacted via phone (801) 576-2300.

Contact Information

Primary practice address
96 E Kimballs Ln Ste 207 Draper UT 84020-5025
Phone: (801) 576-2300
Fax: (419) 537-5600
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 35062570 Ohio
Allopathic & Osteopathic Physicians / Sports Medicine 207XX0005X 35062570 Ohio
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 2606111205 Utah

Profile Details

NPI number 1003820234
LBN Legal business name Fenton, Paul
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 27th, 2006
Last updated Feb 15th, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1003820234 NPPES
Ohio MEDICAID 0265449

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